Individual
PAULA K. OGROCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3192
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
5389
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221256
UNISON
OH
01
—
000000510695
ANTHEM
OH
05
—
2257794
—
OH
01
—
363889
WELLCARE MEDICAID
OH
01
—
680013776
MCR RR
—
01
—
741875
BUCKEYE MEDICAID
OH
01
—
7902809
AETNA
OH
Enumeration date
07/09/2006
Last updated
11/19/2020
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